Key result
Six rounds of R-CHOP chemotherapy remarkably decreased the tumor mass and reduced heart failure symptoms in a patient with a rare butterfly-shaped primary cardiac lymphoma involving both atria.
Case Report (n=1)
No
Highlights an extremely rare presentation of primary cardiac lymphoma with extensive bi-atrial and pericardial involvement causing heart failure symptoms in an immunocompetent patient.
May support chemotherapy in rare bi-atrial cardiac lymphoma with heart failure; hypothesis-generating and requires prospective validation.
We described here a patient who presented with symptoms of heart failure who was found to have severe bilateral impairment of atrioventricular inflow. Primary cardiac lymphoma (PCL) with extensive involvement of the two atria, pericardium and myocardium is an extremely rare tumor in immunocompetent patients. We report here a case of PCL in an immunocompetent patient with involvement of both atria and the atrial septum. The tumor had a butterfly shape. We could not do surgical excision because of the massive pericardiac invasion. The diagnosis was B-cell lymphoma and this was confirmed by the pericardiac biopsy.
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Cho et al. (2012) conducted a case report in Primary cardiac lymphoma (n=1). R-CHOP chemotherapy was evaluated on Tumor response. Six rounds of R-CHOP chemotherapy remarkably decreased the tumor mass and reduced heart failure symptoms in a patient with a rare butterfly-shaped primary cardiac lymphoma involving both atria.
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